|
Graft patch felt ptfe 2x2
|
$22,751.20 |
$22,751.20 |
$22,751.20 |
$29,293.39
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$776.69 |
$776.69 |
$776.69 |
$1,132.47
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$33.13 |
$33.13 |
$33.13 |
$28,894.71
|
|
Graft xenmtrx sft rect 15x20cm
|
$41,438.47 |
$41,438.47 |
$41,438.47 |
$29,676.26
|
|
Graft xenmtrx sft rect 19x28cm
|
$2,406.68 |
$2,406.68 |
$2,406.68 |
$2,905.40
|
|
Ground mileage
|
$10.90 |
$10.90 |
$10.90 |
$17.60
|
|
G-tube reposition
|
$797.00 |
$797.00 |
$797.00 |
$771.36
|
|
Gu dilat ureter/urethra s&i
|
$539.97 |
$539.97 |
$539.97 |
$2,000.16
|
|
Guided cath fluid drainage 10030
|
$775.10 |
$775.10 |
$775.10 |
$1,372.15
|
|
Guide wire threaded 1.4x150mm
|
$4,099.02 |
$4,099.02 |
$4,099.02 |
$3,284.36
|
|
Guide worley csg 9fx50cm std
|
$1,800.97 |
$1,800.97 |
$1,800.97 |
$1,117.40
|
|
Guid loc target vol rad tx
|
$154.52 |
$154.52 |
$154.52 |
$535.60
|
|
Gw stiffened micro access kit
|
$4,523.53 |
$4,523.53 |
$4,523.53 |
$6,893.38
|
|
Handpiece aquabeam hp2000
|
$5,169.58 |
$5,169.58 |
$5,169.58 |
$6,628.05
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$65.21 |
$65.21 |
$65.21 |
$105.30
|
|
Hand X-ray
|
$62.30 |
$62.30 |
$62.30 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$56.67 |
$56.67 |
$56.67 |
$294.90
|
|
Haptoglobin quantitative
|
$13.57 |
$13.57 |
$13.57 |
$92.80
|
|
Hast w/i&r phys/qhp
|
$76.96 |
$76.96 |
$76.96 |
$301.95
|
|
Hast w/oxygen titrate
|
$102.73 |
$102.73 |
$102.73 |
$347.20
|
|
Hba1/hba2 full gene sequence
|
$777.60 |
$777.60 |
$777.60 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$262.66 |
$262.66 |
$262.66 |
$403.25
|
|
Hbb full gene sequence
|
$420.77 |
$420.77 |
$420.77 |
$633.25
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$467.46 |
$467.46 |
$467.46 |
$726.00
|
|
Hcg qualitative
|
$5.29 |
$5.29 |
$5.29 |
$90.10
|
|
Hcg quantitative
|
$15.41 |
$15.41 |
$15.41 |
$139.20
|
|
Hc i-131 sodium iodide cap dx per mci
|
$23.59 |
$23.59 |
$23.59 |
$113.12
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$857.09 |
$857.09 |
$857.09 |
$1,070.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$2,883.63 |
$2,883.63 |
$2,883.63 |
$2,725.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$4,326.67 |
$4,326.67 |
$4,326.67 |
$2,960.63
|
|
Hdr rdncl ntrstl/icav brchtx
|
$4,715.43 |
$4,715.43 |
$4,715.43 |
$3,706.29
|
|
Hdr rdncl skn surf brachytx
|
$2,779.48 |
$2,779.48 |
$2,779.48 |
$911.04
|
|
Hdr rdncl skn surf brachytx
|
$4,280.71 |
$4,280.71 |
$4,280.71 |
$1,179.75
|
|
Head CT scan (with and without contrast)
|
$547.24 |
$547.24 |
$547.24 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$456.19 |
$456.19 |
$456.19 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$364.82 |
$364.82 |
$364.82 |
$1,268.90
|
|
Heart first pass add-on
|
$442.13 |
$442.13 |
$442.13 |
$485.27
|
|
Heart infarct image
|
$532.04 |
$532.04 |
$532.04 |
$942.29
|
|
Heel (Calcaneus) X-ray (both feet)
|
$46.82 |
$46.82 |
$46.82 |
$276.00
|
|
Helicobacter pylori antibody igm
|
$20.83 |
$20.83 |
$20.83 |
$92.00
|
|
Hematocrit
|
$19.46 |
$19.46 |
$19.46 |
$33.80
|
|
Hematopoietic nuclear tx
|
$561.60 |
$561.60 |
$561.60 |
$928.98
|
|
Hemodialysis one evaluation
|
$383.20 |
$383.20 |
$383.20 |
$1,364.27
|
|
Hemoglobin
|
$16.92 |
$16.92 |
$16.92 |
$33.54
|
|
Hemoglobin methemoglobin quantitative
|
$13.57 |
$13.57 |
$13.57 |
$52.32
|
|
Hemoglobin plasma
|
$13.57 |
$13.57 |
$13.57 |
$41.40
|
|
Hemolysins/agglutinins auto
|
$130.83 |
$130.83 |
$130.83 |
$62.48
|
|
Hemolysins and agglutinins incubated
|
$36.58 |
$36.58 |
$36.58 |
$61.79
|
|
Hemophilus influenza antibdy
|
$16.55 |
$16.55 |
$16.55 |
$62.70
|
|
Heparin assay
|
$18.33 |
$18.33 |
$18.33 |
$139.15
|
|
Heparin neutralization
|
$10.15 |
$10.15 |
$10.15 |
$37.10
|
|
Heparin-protamine tolerance
|
$11.28 |
$11.28 |
$11.28 |
$37.75
|
|
Hepatitis a antibody igm
|
$14.69 |
$14.69 |
$14.69 |
$89.44
|
|
Hepatitis b core antibody igm
|
$14.69 |
$14.69 |
$14.69 |
$89.60
|
|
Hepatitis b core antibody total
|
$14.69 |
$14.69 |
$14.69 |
$77.50
|
|
Hepatitis b surface antibody
|
$14.69 |
$14.69 |
$14.69 |
$82.32
|
|
Hepatitis c antibody
|
$68.09 |
$68.09 |
$68.09 |
$108.25
|
|
Herpes simplex 1 ag if
|
$16.74 |
$16.74 |
$16.74 |
$38.58
|
|
Herpes simplex 2 ag if
|
$16.74 |
$16.74 |
$16.74 |
$41.61
|
|
Herpes simplex type 1 antibody igg
|
$14.15 |
$14.15 |
$14.15 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$15.75 |
$15.75 |
$15.75 |
$87.36
|
|
Herpes simplex virus isolation
|
$28.46 |
$28.46 |
$28.46 |
$110.00
|
|
Heterophile antibodies screening
|
$4.27 |
$4.27 |
$4.27 |
$73.87
|
|
Hhv-6 dna quant
|
$35.15 |
$35.15 |
$35.15 |
$253.68
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$114.05 |
$114.05 |
$114.05 |
$374.40
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$107.71 |
$107.71 |
$107.71 |
$424.80
|
|
Hip and Pelvis X-ray (single view, left side)
|
$90.46 |
$90.46 |
$90.46 |
$233.50
|
|
Hip X-ray
|
$99.62 |
$99.62 |
$99.62 |
$294.75
|
|
Histamine
|
$20.47 |
$20.47 |
$20.47 |
$115.00
|
|
Histochemical stains add-on
|
$316.50 |
$316.50 |
$316.50 |
$152.75
|
|
Hla class i high defin qual
|
$259.52 |
$259.52 |
$259.52 |
$631.15
|
|
Hla class ii high defin qual
|
$261.13 |
$261.13 |
$261.13 |
$569.25
|
|
Hla i & ii type verify lr
|
$524.45 |
$524.45 |
$524.45 |
$742.50
|
|
Hla ii typing 1 loc hr
|
$160.70 |
$160.70 |
$160.70 |
$299.20
|
|
Hla i low res one antigen equiv ea
|
$96.34 |
$96.34 |
$96.34 |
$164.00
|
|
Hla i typing 1 locus hr
|
$229.82 |
$229.82 |
$229.82 |
$439.20
|
|
Hla i typing complete lr
|
$523.15 |
$523.15 |
$523.15 |
$720.00
|
|
Hla i typing high res 1 allele grp ea
|
$220.32 |
$220.32 |
$220.32 |
$304.20
|
|
Hla i typing low res one locus ea
|
$165.46 |
$165.46 |
$165.46 |
$340.00
|
|
Hla typing dr/dq
|
$24.30 |
$24.30 |
$24.30 |
$135.20
|
|
Homocysteine
|
$13.34 |
$13.34 |
$13.34 |
$125.40
|
|
Homogenization tissue
|
$14.51 |
$14.51 |
$14.51 |
$41.30
|
|
Homovanillic acid (hva)
|
$15.64 |
$15.64 |
$15.64 |
$59.95
|
|
Hpv types 16 & 18 only
|
$34.04 |
$34.04 |
$34.04 |
$112.00
|
|
H pylori (c-13) breath
|
$46.69 |
$46.69 |
$46.69 |
$212.25
|
|
Hrdtry brst ca-rlatd do 5+
|
$1,689.98 |
$1,689.98 |
$1,689.98 |
$1,702.08
|
|
Human epididymis protein 4 (he4)
|
$25.90 |
$25.90 |
$25.90 |
$157.32
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$7.27 |
$7.27 |
$7.27 |
$140.54
|
|
Hysterosalpingography s&i
|
$410.78 |
$410.78 |
$410.78 |
$669.12
|
|
I-123 iobenguane diag
|
$3,116.42 |
$3,116.42 |
$3,116.42 |
$5,170.70
|
|
I-123 ioflupane diag
|
$2,639.52 |
$2,639.52 |
$2,639.52 |
$4,158.00
|
|
I-123 sod iodide diag per 100 uci
|
$99.40 |
$99.40 |
$99.40 |
$147.46
|
|
I131 iodide cap, rx
|
$21.34 |
$21.34 |
$21.34 |
$71.70
|
|
Iaadi respiratory synctial virus
|
$16.74 |
$16.74 |
$16.74 |
$54.58
|
|
Iadna legionella pneumophila amplified probe tq
|
$29.57 |
$29.57 |
$29.57 |
$109.80
|
|
Ia nfct ab sarscov2 covid19
|
$36.31 |
$36.31 |
$36.31 |
$62.49
|
|
Icd cobalt xt dr MRI is1 df1
|
$38,501.37 |
$38,501.37 |
$38,501.37 |
$34,093.09
|
|
Icd crtd cobalt hf MRI is1 df1
|
$45,500.92 |
$45,500.92 |
$45,500.92 |
$39,070.50
|
|
Icd crtp serena MRI
|
$12,834.57 |
$12,834.57 |
$12,834.57 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$12,188.83 |
$12,188.83 |
$12,188.83 |
$9,264.83
|